Principal Clinical Programs Manager, Behavioral Health — Hybrid

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 180.000 - 220.000; Vollzeit

Zusammenfassung

Blue Shield of CA is seeking a Principal Program Manager, Clinical to lead a portfolio of behavioral health strategy and programs. You will collaborate with internal and external partners to advance quality and integrated care across lines of business.

Reporting to the Director of Behavioral Health Clinical Market Engagement, Strategy and Programs, you will drive cross-functional initiatives, ensure regulatory/NCQA alignment, and improve member and provider experiences while fostering continuous

Qualifikationen

• Bachelor's degree or higher and 4+ years relevant experience.
• CA license (RN/PA/LCSW/LMFT/LPCC/PsyD) required.
• 10+ years of relevant experience in quality programs or health plan ops.
• Behavioral health experience from multiple perspectives.
• Experience driving sustainable change across stakeholders.
• Vendor/product development and management experience preferred.
• Experience with integrated behavioral/medical health care models preferred.

Aufgaben

• Develop, execute, and evaluate Blue Shield's behavioral health strategy and programs.
• Own a portfolio of work and lead cross-functional projects for QI.
• Support NCQA, regulatory and mandate programming across lines of business.
• Improve member and provider experience through quality initiatives.
• Foster leadership development and continuous learning.

Kenntnisse

CA license (RN/PA/LCSW/LMFT/LPCC/PsyD)

10+ years of relevant experience

Behavioral health domain knowledge

Quality improvement initiatives

Vendor/product development & mgmt

Cross-functional collaboration

Ausbildung

Bachelor's degree or equivalent

Jobbeschreibung

Blue Shield of CA is seeking a Principal Program Manager, Clinical to lead a portfolio of behavioral health strategy and programs. You will collaborate with internal and external partners to advance quality and integrated care across lines of business.

Reporting to the Director of Behavioral Health Clinical Market Engagement, Strategy and Programs, you will drive cross-functional initiatives, ensure regulatory/NCQA alignment, and improve member and provider experiences while fostering continuous